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  5. /Case rate
CPT 63303

REMOV VERT XDRL BDY LMBR/SAC

Reported by 413 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$1

Average

$8.3k

Median

$7.4k

High

$31.4k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$12.1k$12.1k——$12.1k$12.1k
2Medical Ctiy ArgyleArgyle, TX$10.9k$12.3k$8.7k—$948$77.2k
3Medical City AllianceSAGINAW, TX$16.1k$13.4k$6.4k—$2.1k$40.6k
4Trinity Medical CenterRock Island, IL$12.1k$12.1k——$12.1k$12.1k
5Unity HealthcareMuscatine, IA$12.1k$12.1k——$12.1k$12.1k
6Meriter Hospital, IncMadison, WI$6.5k$6.1k$669—$2.0k$26.2k
7Medical City MckinneyMcKinney, TX$10.9k$12.4k$8.7k—$948$54.9k
8Medical City Las ColinasIrving, TX$10.9k$11.5k$7.4k—$948$40.6k
9Med City Heart HospitalDallas, TX$12.1k$12.4k$7.8k—$948$46.8k
10Medical City DentonArgyle, TX$10.9k$12.3k$8.7k—$948$77.2k
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